Organization
COOPER RIVER PEDIATRIC THERAPY LLC
Active
Parent organization
COOPER RIVER PEDIATRIC THERAPY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOPER RIVER PEDIATRIC THERAPY LLC
Authorized official
ANNA CRUDUP (CO-OWNER, SLP)
(843) 834-4502
Entity
Organization
Contact information
Practice address
119 CALLIBLUFF DR, SUMMERVILLE, SC 29486
(803) 971-9330
Mailing address
119 CALLIBLUFF DR, SUMMERVILLE, SC 29486-0411
(803) 971-9330
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
09/03/2025
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